It had always been on paper. There were a few people in my family tree that were called mad. It was usually a thing in dynasties, even if they weren't exactly royal, like mine. Nobody could really pinpoint where it started, since my line only went back to the 1700s (Who knows what they thought mad back then), there was a 50 year period of consanguinity a la European royalty (Not that close... The patriarch at the time was apparently convinced we were gods... And that every generation should be ginger), and last but not least, there were different kinds of madness. My kind is definitely distinctive from the first kind I ever remembered, and it wasn't even me.